Yanayin azabtarwa da rashin tausayi
Ƙaƙwalwar tana cikin cikin mahaɗin da za a iya shafawa da ciwo. Tare da althritis, ƙwayar wucin gadi wanda ke rufe iyakar kasusuwa na haɗin gwiwa ya lalace saboda sakamakon kumburi , ciwo da hawaye, ko rauni. Ƙungiyar haɗin gwiwa tana kunshe da kasusuwa uku - nau'in humerus (kashi na sama na sama), scapula (aljihun kafa), da kuma clavicle (collar). Hannun kashin yaro ya shiga cikin sutura na scapula.
An sanya soket a matsayin mai hankali. A rotator cuff, wanda shine ƙungiya na tsokoki da tendons, riƙe da kashi a cikin matsayi a tsakiya na socket.
Abubuwan biyu, haɗin gwanin acromioclavicular da haɗin glenohumeral, ya kafa kafada. Haɗin haɗin acromioclavicular yana samuwa a inda ma'anar ta zo tare da tsari mai kyau a saman ɓangaren kafar (acromion). Haɗin glenohumeral ya samo inda tudirin ya shiga cikin scapula.
Irin Hanya Arthritis
An gano maganin arthritis bisa ga tarihin lafiyar ku, nazarin jiki, da hasken rana ko sauran hotunan hoton. Hanya ta hadin gwiwa da jarrabawar binciken ruwa na al'ada zai iya bayar da cikakkiyar bayanai. Akwai nau'in cututtuka da dama wadanda zasu iya shafar kafada:
- Ritumatoid arthritis wani abu ne, mai cututtuka irin na ciwon wariyar launin fata wanda zai iya shafar dukkanin kullun ƙafafun.
- Bayanin cututtukan cututtuka ne ainihin osteoarthritis da ke tasowa bayan ciwo ga magungunan da aka haɗu (a wannan yanayin, kafada).
- Magungunan rubutun sakonni ko cututtuka na cututtuka shine cututtuka wanda ke tattare da kamuwa da cuta a cikin haɗin gwiwa. Wannan nau'in maganin yatsun kafa ya buƙaci rigakafin gaggawa don hana yaduwar haɗin gwiwa.
- Arthropathy Saboda Rotator Cuff Yau ne arthritis da tasowa a matsayin mai wahala ga rotator cuff hawaye. Tare da rotator cuff mai tsage, ba za a rike kansa a cikin sutura ba, wanda zai sa ya motsawa ya shafa a kan acromion. Kashe shafawa akan kashi zai iya haɗuwa da lalacewar haɗin gwiwa mai mahimmanci.
- Ciwon kwayar cutar kwayar cutar, ko Osteonecrosis, yana tasowa lokacin da aka yanke jinin a kan saman humerus. Ba tare da yaduwar jini ba, ɓangaren kasusuwa sun mutu, suna haifar da lalacewar haɗin gwiwa. Yayinda kasusuwa ta rushe, to a saman magungunan ciwon yaro ne a farkon, amma a ƙarshe mabarin glenoid ya shiga. Yin amfani da magungunan ƙwayoyi masu yawa, maye gurbin shan barasa, cututtukan ciwon sikila, ko raunuka zai iya haifar da ƙwayoyin ƙwayoyin cuta na kwakwalwa.
Hanyoyin cututtuka na Hanya Arthritis
Babban bayyanar cututtukan da ke hade da ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa ita ce zafi da iyakacin iyaka . Cikin baƙin ciki yana cikin baya na kafadar idan hada haɗin gine-ginen yana da hannu kuma an kwatanta shi a matsayin mummunan ciwo. An sami ciwo a saman kafaɗun idan haɗin acromioclavicular ya ƙunshi kuma zai iya haskakawa a gefen wuyansa. Idan akwai haɗin gwargwadon shafi, kamar yadda yawanci ya kasance tare da maganin wariyar launin fata, ƙwaƙwalwar ƙafa ɗaya ce a bangarorin biyu na jiki. Ƙayyadadden iyaka na motsi na kafada zai iya shafar ayyukan daban-daban na rayuwar yau da kullum. Zai yi wuya a tada hannunka, don isa, ko kuma yin kowane aikin da ake buƙatar waɗannan ƙungiyoyi. Hadin gwiwa da haɗin gwiwa kuma sune alamun bayyanar cututtuka.
Jiyya na Hanya Arthritis
Mahimmanci, magani ba tare da magani ba yana dacewa da ƙwaƙwalwar ƙafar kafar, akalla da farko kuma idan kamuwa da kamuwa da cuta ya ƙare. Gwargwadon shawarar da aka ba da shawarar ya fara da:
- Sauran
- Tsarin ayyukanku
- NSAIDs (kwayoyin anti-inflammatory marasa amfani)
- Jirgin kwayar cutar
- Heat ko kankara
Idan zaɓuɓɓukan maganin rashin daidaituwa sun kasa samun nasara wajen sarrafa bayyanar cututtuka, kuma ƙuntatawa da aikinka yana da tsanani, ana iya ɗaukar tiyata. Arthroscopy , kafada maye gurbin haɗin gwiwa (ciki har da hemiarthroplasty [an haɗa ɗayan kwakwalwa], maye gurbin kafaɗar jaka, da maye gurbin jakar kungiya ), kuma an cire magungunan arthroplastic (mai hawan jini ko kuma motsin hawan jini saboda rashin aikin tiyata ko kamuwa da cutar).
Sources:
Arthritis na Hanya. OrthoInfo. Janairu 2013.
http://orthoinfo.aaos.org/topic.cfm?topic=a00222
Hanya Arthritis. Jami'ar Washington, Orthopedics & Medicine Medicine. Samun damar 12/10/2015.
http://www.orthop.washington.edu/?q=patient-care/shoulder-arthritis.html
Kelley's Textbook na Rheumatology. Elsevier. Tsarin na tara. Babi na 46. Kwakwalwa. Martin da Thornhill.